June 2009

 

Contents

1.    Message from the Registrar: Professor Sue Bailey - The development of ICD11

2.    Appointment of the College Lead on Workforce

3.    New College publication: Good Psychiatric Practice: 3rd edition

4.    Update from Northern Ireland: Dr Cathal Cassidy completes his term as Northern Ireland Division Chair

5.   The Scoping Group on Education in Psychiatry report

6.   The Boorman Review into the health and well-being of the NHS Workforce: call for evidence

7.   Adults with autistic spectrum conditions

8.   PMTEB National Survey of Trainers: Consultants and GP trainers: it’s time to have your say!

9.   Online Self-Harm Study

10.  2nd Reading of the Welfare Reform Bill in the House of Lords

11.  Equality Bill published

12.  Bradley Report launched - Mentally ill prisoners better off outside

13.  New Research from the Financial Services Authority suggests that moving from low to average levels of financial capability improves both psychological well-being and life satisfaction

14.  Boost in innovation in the NHS: Over £220 million to be made available

15.  First Steps for ContactPoint: Online Directory for people who work with children and young people

16.  The 2009 Bupa Foundation Awards: Calls for entries

17.  GMC: Have your say on rules for Doctors

18.  Department of Health appoints Capita to manage new certification scheme for health and social care information

19.  What’s New Online?

 

 

1.    Message from the Registrar: Professor Sue Bailey - The development of ICD11

Professor Traolach Brugha is closely linked into both the ICD11  and the DSM5 review process.  He will be carrying out a survey on the current diagnostic categories and their usefulness, and at this stage is contacting and talking to the Chairs of Divisions, Faculties and Sections for their input.Professor Sue Bailey

 

ICD10 promises to be a major revision whilst maintaining compatibility with previous versions. ICD10 itself is a member of the World Health Organisation’s 'family' of international classifications which provide the basic building blocks for health information systems.

 

It is particularly important for all members across the UK and through the International Divisions to contribute to this process on this occasion, not only because it effects all our daily work but also because the WHO on this occasion have chosen Mental and Addictive Disorders as a main focus for update and revision.

 

In each area of healthcare the health information will be systematically reviewed in 3 interconnected main lines.

  1. A scientific stream – scientific evidence
  2. A clinical stream – clinical utility and heath system utility
  3. A public health stream – public health usefulness

 

From a personal perspective, as secretary of European Society for Child and Adolescent Psychiatry, I see an important part of this process is to become as fully involved as possible in the field trials.  I also believe it is important to feed interlinked topic advisory groups e.g. for Child Psychiatrists to feed into the Child and Adolescent Health stream to ensure that we support the development of the classification overall which supports the treatment needs and understanding of intervention and holistic care for those with mental illness and/or learning disabilities.

 

I know we all have very busy working lives but I hope that you will contribute actively to the work being carried out by Professor Traolach Brugha and use every opportunity to feed into all parts of ICD10 process.

College News

2.        Appointment of the College Lead on Workforce

The College is looking to appoint a Lead on Workforce issues. The Lead will play a key role in:

1.        Developing strategies for Workforce.

2.        Planning the number of doctors in mental health by tracking trainee figures from medical students through to consultants and beyond.

3.        Representing the College internally and externally as an authority on the specific areas of work undertaken.

It is expected that the person appointed will be available for at least half day a week. They may be asked to represent the President at meetings whether related to this brief or not.

Application Process: Members should submit a CV and covering letter to Professor Dinesh Bhugra, President. Please email: pconlon@rcpsych.ac.uk  by 19th June 2009. Interviews will take place on the morning of Friday 26th June 2009. You will be expected to take up the position on 1st July 2009.

3.        New College publication: Good Psychiatric Practice: 3rd edition

The fully-updated third edition of Good Psychiatric Practice is now available. It is aligned to the GMC’s Good Medical Practice (2006), which sets out standards for all medical practitioners.

 

The new document (CR154) replaces the second edition of Good Psychiatric Practice (CR125). It has been revised with the GMC’s approach to revalidation in mind, and sets out standards for general good practice that psychiatrists will need to meet for recertification in the UK.

 

Robert Jackson, Head of Professional Standards, said: “I urge all psychiatrists to pay close attention to the new edition. These are the standards that all psychiatrists will have to comply with for revalidation, and are the standards against which the College will be devising assessments for recertification.”

 

Areas of practice include: Core attributes; Good clinical care; Maintaining good practice; Teaching, training, appraising and assessing; Relationships with patients; Consent; Confidentiality; Working with colleagues; Working with management; research; and Probity.

4.        Update from Northern Ireland: Dr Cathal Cassidy completes his term as Northern Ireland Division Chair

Over four years at the helm of the Northern Ireland Division, Dr Cathal Cassidy has worked to make psychiatry more accessible to the public, to politicians, to other professionals, and to people who experience mental health problems Dr Cathal Cassidyand those who care for them.

 

"During his term as Chair, Cathal has provided leadership to the profession. This has been important during this time of change." said Dr Paddy Moynihan, Honorary Secretary of the Northern Irish Division.

 

"We are now in the Post-Bamford era and while his predecessor Fred Browne led us through the Review, Cathal has been instrumental in leading the profession in responding to its opportunities and challenges." he said. "He has focussed on a strongly inclusive agenda, bringing together all professions as well as users and carers to develop and improve Mental Health Services."

 

"During Cathal's term as Chair, the offices of The Northern Ireland Division moved to Clifton House. This is one of Belfast's oldest buildings and provides a beautiful environment in which to carry out the work of the Division as well as to host meetings with other agencies, said Dr Moynihan said

 

"A reformed Northern Ireland Assembly has provided opportunity to influence Government, and Dr Cassidy capitalised on this by bringing on board an external Public Affairs and Communications Consultant to ensure the voice of psychiatrists is heard by politicians and in the media. The College has instigated combined lobbying from other professional Colleges for improved mental health services, both through the media and through direct contact with the Health Minister and health officials."

5.      The Scoping Group on Education in Psychiatry report

The Scoping Group on Education in Psychiatry report  covers :

  • Curricular support which includes a core curriculum, integrating psychiatry into the undergraduate curriculum, updates on work undertake regarding student attitudes, the development of a student website
  • Support for clinical teachers including the findings of a survey of clinical teachers, clinical teaching workshop and setting standards for clinical teachers
  • Outcomes of the Scoping Group including an outline of the dissemination meeting in November 2008
  • Recommendation for future developments in this area.

Please do feel free to contact Dr Nisha Dogra on nd13@le.ac.uk on any aspect of the report.

Consultations

6.        The Boorman Review into the health and well-being of the NHS Workforce: call for evidence

The independent review, led by Dr Steve Boorman, is a response to Dame Carol Black’s report into the health and well-being of the UK’s working age population. It will investigate the health and well-being of NHS staff specifically. It will produce interim findings in the summer, and final recommendations by the end of 2009.

 

The review builds on the clear commitments made in the NHS Constitution to maintain the health and well-being of all NHS staff.  One of the Constitution’s central pledges to staff is to provide support and opportunities for staff to maintain their health, well-being and safety.

 

The ‘Call for Evidence’ is seeking information from Trusts, leaders and experts from across the NHS on the effectiveness of a range of approaches to staff health and well-being.  Alongside the Call for Evidence, there is an opportunity for individual staff to share their views on health and well-being in their organisation, to get an understanding of the working life, health and well-being of staff in the NHS. This will be a critical part of the final recommendations. 

7.        Adults with autistic spectrum conditions

The Department of Health recently launched a public consultation to identify priority areas for action to drive improvements in NHS and local authority services for adults with autistic spectrum conditions (ASC). Guidance has also been published which is part of a programme of work to ensure that people with ASC receive the right support to live life independently and to the full, exercising choice and control over decisions that affect their lives.

 

8.        PMTEB National Survey of Trainers: Consultants and GP trainers: it’s time to have your say!

All consultants, GP trainers and GPs with foundation trainees are asked to submit a form to ensure we can provide useful results that will help us quality assure the training you provide.

Why every submission counts. By completing the survey you will ensure that we can:

  • Provide reports on training by specialties, deaneries and NHS organisations
  • See how your training standards compare against others
  • Give consultants the chance to voice their concerns at local and national levels.

9.        Online Self-Harm Study

Do you wonder about how to help young people who self-harm? Have you qualified in the last 5 years OR are you a psychiatric trainee? If so, you may be interested in taking part in a research project exploring the place of health professionals in online communities for those who self-harm. Follow this link for further information.  

Parliamentary Updates

10.        2nd Reading of the Welfare Reform Bill in the House of Lords

The Welfare Reform Bill had its 2nd Reading in the House of Lords. Peers debated some of the key College concerns around the way that the Bill would work for people with mental health problems. The College was mentioned on a number of occasions, where our briefing was highlighted.

11.      Equality Bill published

Harriet Harman recently published the Equality Bill, to make Britain ‘stronger, fairer and more equal.’ The Bill sets out new laws which will aim to narrow the gap between rich and poor; require business to report on gender pay; outlaw age discrimination; and will strengthen Britain’s anti-discrimination legislation. The Bill will simplify the law which, over the last four decades, has become complex and difficult to navigate. The Equality Bill will strengthen our equality law by:

  1. Introducing a new public sector duty to consider reducing socio-economic inequalities;
  2. Putting a new Equality Duty on public bodies;
  3. Using public procurement to improve equality;
  4. Banning age discrimination outside the workplace;
  5. Introducing gender pay reports;
  6. Extending the scope to use positive action;
  7. Strengthening the powers of employment tribunals;
  8. Protecting carers from discrimination;
  9. Offering new mothers stronger protection when breastfeeding;
  10. Banning discrimination in private clubs; and
  11. Strengthening protection from discrimination for disabled people.

Read the College briefing produced when the Bill was announced last year.

Other News

12.     Bradley Report launched - Mentally ill prisoners better off outside

Lord Bradley’s recent review stated that keeping offenders in the community where they live, instead of locking them up, would help them get treatment and save the Government money. Prison reform groups say up to 2,000 inmates on short sentences would be better off outside.  “Vulnerable" defendants should be given extra support to reduce "stress" in court, and help them understand what is happening. Currently only witnesses and victims are eligible for assistance.  

 

He also called for a more in-depth examination of the evidence on not jailing some criminals with mental health problems. "Early indications suggest that there are significant cost savings to be made for the criminal justice system by increasing the use of community sentence alternatives for individuals with mental health problems or learning disabilities."

 

The review was commissioned by Justice Secretary Jack Straw in December 2007 and makes 80 recommendations about improvements throughout the criminal justice system, including better training for staff to help them identify and deal with mental health issues. The NHS should take over control of health services in police custody suites, the report said.

13.     New Research from the Financial Services Authority suggests that moving from low to average levels of financial capability improves both psychological well-being and life satisfaction

New research from the Financial Services Authority creates a deeper understanding of how financial capability affects individuals. Some key findings include:

  • Moving from low to average levels of financial capability improves psychological well-being by 5.6% and life satisfaction by 2.4%. It also decreases the likelihood of suffering from anxiety or depression by 15%.
  • For the divorced and the unemployed, the relationship is even stronger- the same change in financial capability leads to an 8.8% improvement in well-being.
  • Earning £1000 more a year improves life satisfaction by only 0.2%- 12 times smaller than the impact of improved financial capability- and the effect of a decrease in financial capability is almost comparable to the effect of being divorced (which leads to a 3% reduction in life satisfaction and 8.3% reduction in well-being). 

14.     Boost in innovation in the NHS: Over £220 million to be made available

A £220 million fund will be made available to encourage innovation within the NHS, Health Minister Lord Darzi announced today, during an event at the Science Museum in London to mark the launch of Innovation for a Healthier Future, a series of initiatives to nurture and reward innovation within the NHS.

 

Building on the Government's firm commitment to create an innovative health service, England's ten SHAs will each receive £2 million this year, and £5 million in each of the following four years to support frontline NHS staff in developing innovative ideas.

15.    First Steps for ContactPoint: Online Directory for people who work with children and young people

The first steps to activate ContactPoint, the Government’s online directory for people who work with children and young people, are underway. ContactPoint is being created as a tool to improve the wellbeing of all children and young people, to help keep them safe and ensure that no child slips through the net.

 

It provides a quick way for a practitioner to find out who else is working with the same child. This will enable practitioners across the children’s workforce to work together when they need to, and provide a more co-ordinated approach to meet a child’s needs.

 

Nineteen ‘early adopter’ organisations (17 local authorities in the North West plus Barnardo’s and KIDS) have trained their ContactPoint management teams on the system and are making the it ready for practitioner use. 

 

Four primary care trusts and four Acute NHS Trusts are working with some of these local authorities to demonstrate how ContactPoint will work for health practitioners and to feed back into an early evaluation process. 

 

The Royal College of Psychiatrists has contributes to the development of ContactPoint with the Department for Children Schools and Families. For further information see web link above, alternatively, contact your local authority or Bree.Verity@dcsf.gsi.gov.uk

16.    The 2009 Bupa Foundation Awards: Calls for entries

The Bupa Foundation awards are made annually in recognition of excellence in medical research and healthcare in seven categories:

  • Care of the elderly
  • Clinical excellence
  • Communication
  • Epidemiology
  • Medical research
  • Occupational health
  • Patient safety

Each award is £15,000. This is divided into two parts: £5,000 will be paid direct to the individual or team members and £10,000 will be for use to further the award winner's project.

17.    GMC: Have your say on rules for Doctors

The General Medical Council (GMC) is seeking volunteers to give their opinions on a range of health issues.  Feedback will help to inform and influence the policies and decisions of the GMC.

 

25 members of the public and 25 registered medical practitioners will make up the first ever GMC Reference Community. While volunteers will not be asked to make policy decisions, they will be asked for their opinion on a range of key GMC topics such as:

 

  • the ethical guidelines that doctors are required to follow;
  • the GMC website to make sure it is clear and easy to use, especially for members of the public.
  • the process by which a doctor is regularly appraised.

 

Each volunteer would ideally give around 20 to 30 hours per year but this could vary according to individual circumstances.

 

Candidates should not represent the opinion of an organisation as the GMC already has systems in place to engage with professional bodies and interest groups. 

18.    Department of Health appoints Capita to manage new certification scheme for health and social care information

Exercise and mental healthThe Department of Health (DH) has appointed Capita to manage a new certification scheme – The Information Standard – as part of a drive to ensure that the public and patients have access to good quality information that will help them make confident and informed decisions about their health and social care.

 

The Information Standard, formerly known as the Information Accreditation Scheme, will be launched later this summer. The College is currently seeking accreditation for its series of Help is at Hand leaflets.

 

19.       What’s New Online?

This module aims to help you understand how your views on diversity impact on your interactions with the world, and in particular, how this may affect your work within psychiatry.

 

  • New books from RCPsych Publications

 

Modern Management of Perinatal Psychiatric Disorders – by Carol Henshaw, John Cox and Joanne Barton. This is a comprehensive overview of mental health problems associated with pregnancy and the year following delivery.  An essential text for trainees and useful for other mental health professionals. 

 

Am I Going to Die? - from the Books Beyond Words series by Sheila Hollins. Pictures in the BBW titles help explain difficult situations and emotions to people with learning/intellectual disabilities. John has a terminal illness and this book tells his story, dealing with both physical deterioration and the emotional aspects of dying in an honest and moving way.  

 

Nidotherapy: Harmonising the Environment with the Patient - by Peter Tyrer. A guide to this new concept in mental health. When other therapies have had little effect, nidotherapy involves analysing a person’s environment and changing it to suit them, so that their well-being and sense of belonging are improved. 

Book-signing session: Tues 2 June at 1pm, College stand (Annual Meeting Exhibition).

 

© 2010 Royal College of Psychiatrists